Hospital adoption of antimicrobial stewardship programmes in Gulf Cooperation Council countries: A review of existing evidence. (December 2018)

• Record Type: Journal Article
• Authors: Alghamdi, Saleh; Shebl, Nada Atef; Aslanpour, Zoe; Shibl, Atef; Berrou, Ilhem
• Is Part Of: Journal of global antimicrobial resistance. Volume 15(2018)
• Page Start: 196
• Page End: 209
• Publication Date: 2018-12
• Subjects: Antimicrobial stewardship programme -- ASP -- Antimicrobial resistance -- Hospital -- Gulf Cooperation Council; Drug resistance -- Periodicals; Drug resistance -- Periodicals; Drug resistance; Periodicals; 616.9041
• DOI: 10.1016/j.jgar.2018.07.014
• Languages: English
• ISSNs: 2213-7165

Abstract

Highlights: Despite established benefits, adoption of antimicrobial stewardship programmes (ASPs) in GCC hospitals remains low. Adoption of ASPs in GCC hospitals can be facilitated or hindered by a range of institutional and individual factors. Six outcome measures to evaluate ASPs in GCC hospitals have been reported. Hospital adoption of ASPs results in improvement in at least one outcome measure. Abstract: Antimicrobial resistance is increasing at an alarming rate in the Gulf Cooperation Council (GCC) owing to the overuse and misuse of antimicrobials. Novel and rare multidrug-resistant strains can spread globally since the region is host to the largest expatriate population in the world as well as a pilgrimage destination for more than 4 million people annually. Adoption of antimicrobial stewardship programmes (ASPs) could improve the use of antimicrobials and reduce antimicrobial resistance in the region. However, despite the established benefits of these interventions, little is known about the level of their adoption in the region and the impact of these programmes on antimicrobial use and resistance. This study aimed to review existing evidence on the level of adoption of ASPs, the facilitators and barriers to their adoption, and outcomes of their adoption in GCC hospitals.